Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.89 / $462.89 / $462.89	Facility		$462.89	$462.89	$462.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $462.89 / $462.89	Professional		$449.41	$462.89	$462.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $624.60	Professional		$449.41	$449.41	$624.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $462.89	Facility		$449.41	$449.41	$462.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $606.70	Professional		$449.41	$449.41	$606.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $652.92 / $725.47	Professional		$449.41	$652.92	$725.47
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $484.37	Professional		$449.41	$449.41	$484.37